Discussion on the clinical management of granulomatous mastitis based on theory of latent pathogens<sup>*</sup>

Guofa SHU; Dongsheng ZHU; Xin ZHONG; Zhen ZHAI; Lina ZHAO; Chen LIANG; Taohua LI; Wei LI; Yiliang LI; Siyao HUANG

doi:10.3969/j.issn.2095-6606.2022.01.009

您当前的位置：

首页 >

文章列表页 >

Discussion on the clinical management of granulomatous mastitis based on theory of latent pathogens^*

更新时间：2022-01-30

- Discussion on the clinical management of granulomatous mastitis based on theory of latent pathogens^*
- Modern Chinese Clinical Medicine Vol. 29, Issue 1, Pages: 39-43(2022)
- 作者机构：
  
  1.北京中医药大学　北京　100029
  2.北京中医药大学东方医院乳腺科
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.2095-6606.2022.01.009
  CLC： R269
- Published：30 January 2022，
  
  Received：18 December 2020，
- 稿件说明：
移动端阅览
Guofa SHU, Dongsheng ZHU, Xin ZHONG, et al. Discussion on the clinical management of granulomatous mastitis based on theory of latent pathogens^*. [J]. Modern Chinese Clinical Medicine 29(1):39-43(2022)
DOI：

Guofa SHU, Dongsheng ZHU, Xin ZHONG, et al. Discussion on the clinical management of granulomatous mastitis based on theory of latent pathogens^*. [J]. Modern Chinese Clinical Medicine 29(1):39-43(2022) DOI： 10.3969/j.issn.2095-6606.2022.01.009.

摘要

肉芽肿性乳腺炎是一种病程较长、多发生于女性非哺乳期、病因未明、具有非特异性的乳腺良性炎症性疾病，易误诊误治，近年来发病率呈逐渐上升趋势。中医学将其归属于“不乳儿乳痈”“乳漏”等范畴，中医药对该病的诊治有一定疗效。本文探讨基于“伏邪理论”治疗肉芽肿性乳腺炎。治疗时辨证分期论治：急性期清热化痰散结以透邪，亚急性期温阳通络化痰以祛邪，慢性期益气通络化痰以除邪，同时配合适时手术的治疗理念，使隐匿潜藏之伏邪消散，则邪祛正安，为本病临床治疗提供了新思路。

Abstract

Granulomatous mastitis is a nonspecific benign inflammatory breast disease with a long disease course

mostly occurring in women during the non-lactation period. The etiology is unknown

and it is easy to be misdiagnosed and treated in a wrong way. In recent years

its incidence has been on the rise. In traditional Chinese medicine

granulomatous mastitis falls into the category of "nonpuerperal mammary carbuncles" and "mammary fistula"

and TCM has achieved a certain curative effect in the diagnosis and treatment of this disease. This paper discusses the treatment of granulomatous mastitis based on the "theory of latent pathogens" . Syndrome differentiation and stage-based treatment is put forward: In the acute phase

clear heat and dissolve phlegm to dissipate pathogens; In the subacute phase

warm yang and unblock collaterals to dissipate pathogens; In the chronic phase

nourish qi

unblock collaterals and dissipate phlegm to dispel pathogens. Moreover

in combination with the therapeutic concept of timely surgical operations

the latent pathogens would scatter and be removed. This paper offers new treatment ideas for the clinical treatment of this disease.

关键词

肉芽肿性乳腺炎伏邪理论临证经验伏痰入络分期辨证

Keywords

granulomatous mastitistheory of latent pathogensclinical experiencelatent phlegm entering collateralsstage-based syndrome differentiation

references

徐飚，王蕾，刘晓雁，等．肉芽肿性小叶性乳腺炎国内诊疗现况调查研究[J]．新中医，2019，51(2):279-283.

王婷，吕钢，闵捷，等．我国肉芽肿性乳腺炎研究现状的文献回顾与分析[J]．现代医药卫生，2018，34(13):2037-2039.

张萌．肉芽肿性小叶性乳腺炎中西医研究进展[J]．现代诊断与治疗，2019，30(24):4431-4433.

王蕾，刘晓雁．肉芽肿性小叶性乳腺炎中西医研究进展[J]．中华乳腺病杂志(电子版)，2017，11(5):305-309.

GETANEH A M, GWBREMEDHIN E Z. Meta－analysis of the prevalence of mastitis and associated risk factors in dairy cattle in Ethiopia[J]．Tropical Animal Health and Production，2017，49(4):697-705.

吕锋，李建军．特发性肉芽肿性乳腺炎的诊断及治疗现状[J]．济宁医学院学报，2020，43(2):132-136.

朱耀华，范培芝，张超杰．肉芽肿小叶性乳腺炎的治疗进展[J]．医学与哲学，2016，37(5):56-59.

毕恺欣，王江芬，张亚芬．肉芽肿性小叶性乳腺炎的手术治疗[J]．河北医科大学学报，2020，41(7):857-860.

邓显光，刘丽芳，曾丽红，等．从伏邪学说论治肉芽肿性乳腺炎[J]．陕西中医，2021，42(10):1433-1435,1469.

刘迅，周月，吴智兵．基于伏邪理论防治缺血性中风[J]．中医学报，2020，35(10):2080-2083.

曾治君，郑恬，吉燕华，等．伏邪理论的探讨[J]．中西医结合心血管病电子杂志，2017，5(29):159-160.

李顺保．温病学全书[M]．北京：学苑出版社，2002:1989.

王燕昌．王氏医存[M]．王新华，点注．南京：江苏科技技术出版社，1985:108-109.

周玉清，金信垚，蒋庆雨，等．探析从“伏邪理论”论治病毒性心肌炎经验[J]．辽宁中医杂志，2020，47(9):29-31.

赵明芬，安冬青，汪建萍．试论伏邪理论的源流及发展[J]．中医杂志，2016，57(3):189-192.

马放，占永立．基于伏邪理论探讨从肺论治慢性肾小球肾炎[J]．中华中医药杂志，2018，33(5):1962-1964.

谷丽娟，佟桂珍，卫伟，等．肉芽肿性小叶性乳腺炎12例临床病理分析[J]．河北北方学院学报(自然科学版)，2020，36(6):30-33,60.

孙泽．肉芽肿性小叶乳腺炎临床病理分析[J]．中外医疗，2018，37(35):25-27.

李坤宁，张庆祥，徐成岩，等．伏邪病因病机特点的探析[J]．中国中医急症，2019，28(12):2170-2173.

刘清泉，高洁．伏邪探源[J]．中医杂志，2011，52(2):95-97.

李玲，王志华，马旭，等．王志华教授治疗肉芽肿性乳腺炎经验总结[J]．亚太传统医药，2020，16(1):106-107.

钟少文．林毅中医外治法治疗肉芽肿性乳腺炎[J]．河北中医，2012，34(8):1128-1129.

梁欢，张董晓，孙宇建，等．从中医“痰邪致病”理论看肉芽肿性小叶性乳腺炎发病[J]．北京中医药大学学报，2018，41(10):808-811.

叶天士．临证指南医案[M]．北京：北京科学技术出版社，2014.

田思胜．朱丹溪医学全书[M]．北京：中国中医药出版社，2006:115.

葛安琪，严伊宁，周媛，等．刘丽芳运用补虚养血法治疗肉芽肿性乳腺炎经验[J]．湖南中医杂志，2019，35(1):33-35.

薛已．校注妇人良方[M]．太原：山西科学技术出版社， 2012:460.

赵帅，黄晓曦，王宇，等．肉芽肿性乳腺炎的治疗经验探讨[J]．海峡药学，2018，30(4):217-219.

周媛，葛安琪，严伊宁，等．刘丽芳从阴阳论治肉芽肿性乳腺炎经验[J]．湖南中医杂志，2019，35(9):32-33.

香雪玮，黄梅．“顺势而治”思想治疗肉芽肿性乳腺炎的经验[J]．国际中医中药杂志，2019，41(9):1016-1019.

祝东升，赵立娜，钟馨，等．肉芽肿性乳腺炎的手术治疗体会[C]//中华中医药学会. 第十二次全国中医、中西医结合乳房病学术会议论文集．北京：中华中医药学会, 2011:6.

周飞，刘璐，余之刚．非哺乳期乳腺炎诊治专家共识[J]．中国实用外科杂志，2016，36(7):755-758.

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Clinical experience in treating complications of type 2 diabetes of through the lens of yougu wuyun

Discussion on TCM treatment of migraine from the theory of liver cold

Brief analysis of Zhu Danxi’s experience in using Shengjiangzhi

Discussion on the syndrome differentiation and treatment of asthenospermia based on the theory of latent pathogens

Experience in the staged external treatment of granulomatous mastitis of the Yenching School of TCM Surgeries

Related Author

WU Shentao

MIAO Yaodong

WANG Xiaofei

LAN Yuyang

HE Liyun

LIU Zufa

LU Enshi

LIN Yanqiao

Related Institution

The First Affiliated Hospital of Tianjin University of TCM

National Clinical Research Center of TCM Acupuncture and Moxibustion

The Second Affiliated Hospital of Tianjin University of TCM

Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences

Wangjing Hospital, China Academy of Chinese Medical Sciences

⁰